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INSURANCE & BILLING

Insurance & Billing for Pediatric Care

Insurance can be one of the least clear parts of healthcare. This page gives families a simple place to start with insurance, payment and billing questions for Sylacauga Pediatrics and Summit Pediatrics.

Because coverage depends on your specific plan, provider and network, call your preferred office and your insurance company before a visit when you need to confirm benefits or in-network status.

VERIFY YOUR PLAN WITH YOUR OFFICE

Start With the Pediatric Office Your Family Uses

Insurance participation can change and may vary by plan, provider or location. Call your office for current general information, then confirm your benefits and network status with your insurance carrier.

Sylacauga Pediatrics

115 West Clay Street
Sylacauga, Alabama 35150

Insurance Questions:
Call the office to confirm current plan information.

Summit Pediatrics – Chelsea

134 Foothills Parkway
Chelsea, Alabama 35043

Insurance Questions:
Call the office to confirm current plan information.

Summit Pediatrics – Valleydale Road

1200 Providence Park, Suite 100
Birmingham, Alabama 35242

Insurance Questions:
Call the office to confirm current plan information.

A SIMPLE WAY TO THINK ABOUT IT

Four Steps for Insurance & Billing Questions

Knowing who to ask can make insurance and billing questions much easier to sort out.

1. Bring Your Insurance Card

Bring your child’s current insurance card and updated coverage information to the visit.

2. Confirm Your Network

Ask your insurance company whether the practice and your child’s individual provider are in-network for your specific plan.

3. Ask About Your Benefits

Your insurer can explain deductibles, copays, coinsurance and which services your plan covers.

4. Call With Billing Questions

For general billing or payment questions about your account, contact the pediatric office your family uses.

INSURANCE MADE CLEAR

Your Plan Is the Final Word on Coverage

Two families can carry insurance from the same company and still have different networks, deductibles or benefits. That is why a carrier name alone does not confirm that a specific visit, provider or service is covered.

Your insurance company is the best source for plan-specific benefit information. The practice can help with general billing questions and current office information.

PAYMENT & BILLING

Current Payment Information

We accept cash, checks and credit cards and offer a flexible payment plan through our Financial Coordinator.

Payment policies can change, so contact your office if you need to confirm current options or discuss a balance.

BEFORE YOUR VISIT

A Quick Insurance Checklist for Families

A few minutes before the appointment can prevent confusion later.

UNDERSTANDING YOUR COSTS

Who Should I Call About a Charge?

If you have a question about a benefit, deductible, copay, coinsurance or whether a service is covered, start with your insurance company. If you have a question about a statement, balance or payment arrangement from the practice, contact your pediatric office.

Keep your explanation of benefits and practice statement together when you call so you can compare the same dates and services.

INSURANCE & BILLING QUESTIONS

Frequently Asked Financial Questions

Insurance participation can change and may vary by specific plan, provider or office. Call your preferred location for current general information, then verify in-network status with your insurance carrier.

Contact your insurance company and ask about the specific provider and office under your exact plan. A carrier name alone does not guarantee that every network or product is included.

The practice’s current website lists cash, checks and credit cards. It also states that a flexible payment plan is available through the Financial Coordinator. Contact the office to confirm current policies.

The current practice website says a flexible payment plan is available. Call your office for current eligibility, terms and Financial Coordinator information.

The current new-patient instructions ask families to bring insurance cards, complete immunization records and medical records from the previous pediatrician.

Your insurance carrier is the best source for plan-specific copay, deductible, coinsurance and benefit information. Call your pediatric office for questions about a practice statement or account balance.

The current practice website states that insurance may be filed for reimbursement when the patient’s plan allows them to choose their pediatrician. Call the office to confirm how this applies to your plan.

STILL HAVE A QUESTION?

Call the Office Your Family Uses

For the most current answer, call Sylacauga, Chelsea or Valleydale Road directly.

Have an Insurance or Billing Question?

Call the pediatric office your family uses for current general insurance, payment and billing information.